Our Consortium of four hospital providers and three payer organizations
is having trouble with the interpretation of a couple of things in the
IG

1.)  The DTP segment in the 276 (pg. 86) as well as the front matter of
the guide (pg. 36) indicates that the date in the inquiry is the date
that was originally indicated on the claim that was billed by the
provider.  This seems to be a bit of a restriction of functionality,
since it would be more useful if you could inquire about a range of
dates and be able to receive all claims that had dates of service within
that range.  Any thoughts?

2.)  The other issue is the subscriber/dependent loop issue.  The
question is whether it is acceptable to build inquiries (and/or claims
for that matter) at a subscriber level even if you don't know if the
patient truly is the subscriber or not?

All responses welcome, as we are at quite an impasse.

Thank you.

Jon Fox

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